Board of Director Application I hereby apply for a seat on the Mahube-Otwa Board of Directors Question Title * 1. I will represent the following county? Becker County Hubbard County Mahnomen County Otter Tail County Wadena County At-Large (Representing all 5 Counties) Question Title * 2. Directors must reside in the area they represent. How long have you lived in the county above? 0-4 years 5-10 years 11-19 years 20+ years Question Title * 3. Are you a White Earth Tribal Member or descendant? Yes No Don't know Comment (optional) Question Title * 4. I am applying to be: A representative of the Low-Income A representative of the Private Sector (List Private Sector group below) Elected Official Private Sector Group(s) I will represent and/or position i'm elected to: Question Title * 5. I have a background and/or expertise in the following areas: Administrative/Business Management Cultural Diversity Chemical Health/Harm Reduction Fiscal or Accounting Fundraising Early Childhood Education/Development K-12 Education Legal/Attorney Marketing Medical Mental Health Native American Issues Government Planning/Program Evaluation Public Relations Other (please specify) Question Title * 6. Membership in other organizations? Please list below: Question Title * 7. Brief Biography: Question Title * 8. Address Name Home Address Mailing Address City/Town Zip Code Email Address Cell Phone Other Phone Question Title * 9. (Optional-Collected to build Board diversity) Which race/ethnicity best describes you? American Indian or Alaskan Native Asian/Pacific Islander Black or African American Hispanic American White/Caucasian Multi-Race/Other (please specify) Done
